Background

Scarless breast reduction is a form of customized liposuction for the breast that is a less invasive method for breast reduction. The main factor that determines breast size is the amount of fat tissues found within the breast. As fat is removed via cannula, the breast size is reduced. The average volume of reduction can range from 300 ml – 800ml per. breast and maximum is up to 2250 ml per. breast, however the most ideal volume of removal is less than 500 ml.

The procedure aims to remove fat with the use of a cannula – the same tool used in liposuction for other areas of the body (i.e stomach). In addition, ultrasound can be used to further assist the procedure (optional). It is a less invasive procedure compared to original technique for breast reduction because it does not require the removal of the breast parenchyma and supporting structures. Also it is only required for the patient to be under local anesthesia and sedation.

Statistics (2014 – ASPS)

Reconstructive Patients only:

A total of 59, 883 breast reduction procedures were performed

Aesthetic Patients only:

A total of 41, 309 breast reduction procedures were performed

In men (Gynecomastia):

A total of 26, 175 breast reduction procedures were performed There has been a 29% increase since 2000!

Total of: 127, 317 reported procedures related to breast reduction

Ideal Patients

Younger individuals with minor, fatty hypertrophy and pleasing breast shape with no ptosis

With reason: older individuals with large hypertrophy that places importance of reduction in breast volume over achieving aesthetically pleasing breast shape

Women with hyperplasia

Patient Evaluation

Generally speaking,

Lower BMI patients and younger patients will have higher glandular content in breast Higher BMI patients and older patients will have higher fat content in breast (however, not always the case for higher BMI) Patients with normal BMI are more likely to have a larger breast reduction

Successful results depends on which factors patients place more importance on:

Breast shape Breast volume Size of scar For instance, some patients may sacrifice smaller scar tissue for a more aesthetically appealing breast shape

Algorithm of Young Patients

Reductions (< 500 cc)

BMI > 25 – Liposuction BMI < 25 – Resection technique However, BMI does not always account for localized fat – higher BMI could be due to excess fat in other parts of the body, including/excluding the breast

Reductions (>500 cc)

Will depend on patient’s aesthetic concerns/history of hypertrophic scaring